Volvulus-Child

Definition

A volvulus occurs when part of the large intestine is twisted on itself and the mesentery. The mesentery is a supportive tissue that anchors the intestines to the back wall of the abdomen. The twisted intestine creates a bowel obstruction that cuts off the blood supply and affects bowel function.

A volvulus requires immediate medical attention.

Causes

It is not known what causes the twisting to happen. Rarely, this may lead to bowel obstruction.

Treatment

The treatment goal is to unblock the obstruction and restore bowel function. Treatment may include:

Hydration

IV fluids may be given to prevent dehydration and shock. Your child may need a nasogastric tube to help prevent the build-up of gas in the stomach. A nasogastric tube is a tube inserted through the nose, down the esophagus, and into the stomach.

Medications

Your child’s doctor may recommend antibiotics if an infection is present or possible. It is important for your child to take all of the antibiotics as recommended, even when feeling well.

Surgery

Your child’s doctor will untwist the intestine and assess for any damage. In most cases, untwisting the intestine helps restore blood flow and bowel function.

If needed, the section of intestine that is damaged is removed. The two remaining healthy ends are put together with stitches or staples. This procedure may reduce the chance of another volvulus.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.